Employment Application

Various Federal, State & Local laws prohibit discrimination based on race, color,
sex religion, national origin, ancestry, sexual orientation, age (as prescribed by law), handicap or marital status.
Yesterday's Memories Inc./ Miss Kitty's Old Time Photo is an equal opportunity employer and your response to any question will not
be used as a basis for discrimination, but will be judged on its relevance to the position you are seeking.

Providing The Best Employment Experience, Miss Kitty's Old Time Photos & Gift is committed
to doing its part to provide employees with a satisfying work experience. We believe in a positive working environment and
offer the training tool for your success. As part of this commitment, hard working employees are rewarded with career development
opportunities, annual parties or outings, and direct access to management. By remaining committed to employees, Miss Kitty's Old
Time Photos & Gift is able to retain its reputation as a great place to work, while ensuring that customers are served by
happy and helpful employees.

Personal Information

E-mail Address: (required)

How did you hear about us? (required)

Name:

Address, City, State, Zip:

Phone Contact:

Fax Number:

Are you a US citizen? (required)

Do you have the appropriate papers to work in the US? (required)

If not a US citizen, how would you rate your English 5 is great 1 is poor (required)

Do you have any medical condition that would prevent you from performing your job duties? (required)

If yes, please describe:

Job Description

Position applying for:

Rate of pay:

Weekly or Hourly

Location: (required)

Full Time or Part Time: (required)

Start date:

Education

Please list education:

Employment History

Employment #1

Employers Name:

Address, City, State, Zip:

Phone Contact:

Position:

Supervisor Name:

Eligible for re-employment:

Start date:

Ending date:

Starting pay:

Ending pay:

Hourly or weekly:

Reason you left:

Employment #2

Employers Name:

Address, City, State, Zip:

Phone Contact:

Position:

Supervisor Name:

Eligible for re-employment:

Start date:

Ending date:

Starting pay:

Ending pay:

Hour or Weekly:

Reason you left:

Employment #3

Employers Name:

Address, City, State, Zip:

Phone Contact:

Position:

Supervisor Name:

Eligible for re-employment:

Start date:

Ending date:

Starting pay:

Ending pay:

Hour or Weekly:

Reason you left:

Additional Information

Of the Employers listed is there one we should not call for a reference?

If yes, who and why?

What job did you like best and why?

Type of Work You Are Seeking

What can you offer us and why would you like to work for Miss Kittys Old Time Photo?

1. Come in to work on a scheduled day off?

2. Work all holidays between April 1 & Oct 1?

3. Work a schedule that can change from week to week?

4. Work nights and weekends?

5. Report to work on time as scheduled?

6. Work drug and alcohol free?

7. Clean store, windows, restrooms, etc as needed?

8. Wear Costumes/uniform, follow a dress code and a smile and make each guest (customer) feel welcome?

Objections that you may have with questions 1-8 please list question # and objections:

Friendliness:

Helpfullness:

Sales person:

Work ethic:

Honesty:

Team Player:

Loyalty:

I understand and certify all facts are true and complete: (required)
yes
no

We Thank You For Your Interest in Working for Miss Kitty's Old Time Photo!